Organization
HARVARD PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH GULBRANDSON P.T. (OWNER-PRESIDENT)
(847) 516-8095
Entity
Organization
Contact information
Practice address
343 S DIVISION ST, HARVARD, IL 60033-3276
(815) 943-0191
(815) 943-0196
Mailing address
2615 3 OAKS RD, SUITE 1A, CARY, IL 60013-6127
(847) 516-8095
(847) 516-8095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632091
BLUE CROSS BLUE SHIELD
IL
01
—
7153220
AETNA
IL
Enumeration date
02/20/2007
Last updated
07/21/2022
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